Job satisfaction in an mnc

IntroductionJob satisfaction is an of import subject to cover with in the relation of human resource direction. The of import function of human resource revolves around the chief facet of supplying the occupation satisfaction to the employees. Assorted economic experts have mentioned the occupation satisfaction in different ways because of its different behavior. In my research, this is the cardinal subject to be discussed and I will seek to heighten the points to be considered while doing the policies for a occupation for any peculiar employee. Job satisfaction is one of the most widely discussed and enthusiastically studied concepts. However, occupation satisfaction is among the most hard concepts to specify. The assorted definitions of occupation satisfaction make it clear that different research workers have different sentiments about occupation satisfaction. Harmonizing to Wood ( 1973 ) , occupation satisfaction is the status of contentment with one ‘s work and its environment, denoting a positive attitude. Locke ( 1976 ) stated that occupation satisfaction could be viewed as a â€Å"pleasurable or positive emotional province ensuing from the assessment of one ‘s occupation or occupation experiences.† Other pointed out that occupation satisfaction was merely a map of the grade to which a occupation provided the worker with positively values results. Wanous ( 1980 ) said that occupation satisfaction was a lucifer between a individual ‘s demand and the support received from work performed in an organisation. Job satisfaction signifiers an built-in constituent of the complex system of overall satisfaction. Fixing the preset characteristics of occupation satisfaction is a cardinal aim of any HR policy. The HR executives are responsible for accomplishing those policies and therefore, taking the growing in the company along with the occupation satisfaction.The Purpose of the StudyThe intent to take this subject is to analyse the importance of occupation satisfaction in Multi National Companies ( MNCs ) . The ground to travel for MNCs is the addition in the displacement over of the employees for future growing. The shifting, therefore, includes the satisfaction in the given occupation function. Through my research, I will seek to analyse the causes and consequence relationship between the employee and the factors behind occupation satisfaction in a given MNC.Aim of the StudyThe chief purpose of the survey is to look into the remains taking to negative and positive occupation satisfaction in a MNC.The Aims of the StudyThe cardinal aims of the chosen subject are:Estimating the causes of employee attitudes.Declaring the consequences of positive or negative occupation satisfactionMeasuring the employee attitudeTo measure facet-specific degrees of occupation satisfactionTo mensurate general occupation satisfaction,Literature ReviewThere are several grounds for analyzing occupation satisfaction. Organizations step occupation satisfaction primary because of its presumed direct relationship to the short-run ends of cost decrease through increased single productiveness and decreased absenteeism, mistakes, and dissatisfaction have been found to be related to occupation turnover, absenteeism and tardiness. Employee turnover rates have been the most restraints step associated with occupation satisfaction ( Atchison & A ; Lofferts, 1972 ; Brayfield & A ; Crockett, 1955l Dawis & A ; Lofquist, 1981 ) . Mowday ( 1984 ) recapitulate the likely pessimistic significance of employee turnover in footings of the impact on organisations. There are assorted impacts of pessimism in occupation satisfaction on the turnover of the company such as:Addition in the enlisting cost.Enrolling new employees and so developing them every bit good.It can take to reduced societal dealingss ships among employees.No or merely few public dealingss.Decrease in company ‘s chances which can halter the growing.Harmonizing to Lawler ( 2005 ) , â€Å"the research grounds clearly shows that employees ‘ determinations about whether they will acquire to work on any given twenty-four hours and whether they will discontinue are effected by their feelings of occupation satisfaction. The fact that present satisfacti on influences future absenteeism and turnover clearly indicates the causal way is from satisfaction to behavior† . There is a correlativity between occupation satisfaction and variables such as accomplishment, acknowledgment, the work itself, duty, advancement, policy and disposal, working conditions, supervising, occupation activities and gender.Research MethodologySaunders et Al ( 2005 ) â€Å"Research design is the agreement of conditions for aggregation and analysis of informations in a mode that aims to unite relevancy to the research intent with economic system in procedure† . The research to be followed is a bit-by-bit procedure. This makes the full research procedure systematic. Merely primary research shall be used to pull illations. The beginnings used shall be of international reputation and will be trusty. The chief beginning will be instance survey and besides some books, diaries, articles and publications including Internet beginnings.Mentions:Adams, J. S. ( 1963 ) . Toward an apprehension of unfairness. Journal of Abnormal and Social Psychology, 67 ( 5 ) , 422-436.Bedeian, A. G. , Ferris, G. R. , & A ; Kacmear, K. M. ( 1992, February ) . Age, term of office, and occupation satisfaction: A narrative of two positions. Journal of Vocational Behavior, 33-48.Brayfield, A. H. , & A ; Crockett, W. H. ( 1955 ) . Employee attitudes and employee public presentation. Psychological Bulletin, 52, 396-424.Bruce, W. M. , & A ; Blackburn, J. W. ( 1992 ) . Balancing occupation satisfaction and public presentation. Westport, CT: Quorum Books.Carrell, M. , & A ; Elb ert, N. ( 1974 ) . Some personal and organisational determiners of occupation satisfaction of postal clerks. Academy of Management Journal, 17 ( 2 ) , 368-373.Cherrington, D. , Nyal, D. , & A ; McMullin, B. ( 1989 ) . Organizational behaviour. Needham Heights, MA: Allyn and Bacon.Cook, J. D. , Hepworth, S. J. , Wall, T. D. , & A ; Warr, P. B. ( 1981 ) . The experience of work: A collection and reappraisal of 249 steps and their usage. New York: Academic Press, Inc.Cranny, C. J. , Smith, P. C. , & A ; Stone, E. F. ( 1992 ) . Job satisfaction: How people feel about their occupations and how it affects their public presentation. New York: Lexington Books.Fisher, C. D. ( 1980 ) . On the doubtful wisdom of anticipating occupation satisfaction to correlate with public presentation. Academy of Management Review, 5 ( 4 ) , 607-612.Gable, R. K. , & A ; Wolf, M. B. ( 1993 ) . Instrument development in the affectional sphere ( 2nd ed. ) . Norwell, MA: Kluver Academic Publishers.Glisson, C. , & A ; Durick, M. ( 1988 ) . Forecasters of occupation satisfaction and organisational committedness in human service organisations. Administrative Science Quarterly, 33 ( 1 ) , 61-81.Golding, J. , Resnick, A. , & A ; Crosky, F. ( 1983 ) . Work satisfaction as a map of gender and occupation position. Journal of Applied Psychology, 60 ( 3 ) , 313-317.Grau, M. R. ( 1997 ) . An probe of the job-related stressors of section presidents in a selected community college system. ( Doctoral Dissertation, Texas Southern University, 1997 ) . Dissertation Abstracts International, 58, 3379.Gruneberg, M. M. ( 1979 ) . Understanding occupation satisfaction. New York: The Macmillan Press, Ltd.Hackman, J. R. , & A ; Oldham, G. R. ( 1975 ) . Development of the Job Diagnostic Survey. Journal of Applied Psychology, 60 ( 2 ) , 159-170 Applied Psychology, 49 ( 3 ) , 209-216.Hulin, C. L. , & A ; Smith, P. C. ( 1964 ) . Sexual activity differences in occupation satisfaction. Journal of Applied Psychology, 48 ( 2 ) , 88-92.

Art History Paper Essay

Define the transformations that have taken place between the sculpture of the late archaic period and that of the early Classical period. Note how these imply a change in relationship of the viewer to the work of art. Throughout history, sculptures have developed significantly. The Western tradition of sculptures began in Ancient Greece along with Egypt and many other ancient civilizations around the world. Greece is widely seen as producing great masterpieces in the archaic period and as time evolved into the classical period more detailed and sensible artwork developed. During the archaic period (c.660-480 B.C.) sculpture emerged as a principal form of artistic expression. The beginning of this period marks posh and elegant statues of nude walking youths, the Kouroi, which suggest Egyptian prototypes but which are distinctive in stylization and force of movement. These sculptures were luxurious and prominent during this period of time. In the early classical, or transitional, period (c.480-450 B.C.) a new humanism started to find its artistic expression in terms of a perfect balance between authenticity and abstraction of form. By humanism I mean, a new culture of work developed. This work of art brought forward a greater amount of human qualities. For example, The Anavysos Kouros sculpture from century 540 – 515 B.C. and Kritios Boy from century 480 B.C. These two sculptures convey drastically different messages to the viewer while still portraying similar representations. The Kroisos Kouros is a statue of an Athenian solider that functioned as a grave marker, located in Anavysos in Attica. The marble Kritios Boy belongs to the Early Classical period of ancient Greek sculpture. Two similar sculptures can portray extremely different messages to the viewer by the sculptures body language and the amount of detail put into the sculpture. The way the sculpture is portrayed can impact the viewer’s emotion toward the selected art. The sculpture of Anavysos Kouros during century 540 – 515 B.C. was constructed with an inorganic semblance. The Anavysos Kouros is thought to represent the ideal image of a person rather than an actual portrayal of what Kroisos looked like. This makes Anavysos Kouros understood to be as an abstract figure due to the fact that it’s related to the function of a statue while still representing a hero of Greek culture. The pose of the Kouros, a clear and simple formula, derives from Egyptian art and was used by Greek sculptors for more than a hundred years. The formula consists of the statue frontal fixed with the left food leading slightly. His arms are held next to the body, and the fists are grasped with the thumbs forward. The Greek sculptor rendered the human body in a far more naturalistic manner. For example, the head is no longer too large for the body, and the face is more rounded, with puffy cheeks replacing the flat planes of the earlier work. The long hair does not form an inflexible backdrop to the head but falls naturally over the back. His knees are locked, hips are in axis with shoulders which convey that they body’s muscles are independent from the body’s movement. This statue for example is frozen in time. Rounded hips replace the V-shaped ridges of the earlier work. Anavysos Kouros is extremely stiff even though the statue is free from a block that some statues are attached to from behind. Statues like this replaced the large vases of Geometric times as the favored form of grave marker in the sixth century BCE. This Greek statue from the archaic period, Anavysos Kouros, is produced in frontal view, which is common in regard to this period. Typical Archaic sculptures are produced to be very frontal and have the archaic smile on its face. Anavysos Kouros has both of these descriptions. The art work’s body language would portray the sculpture to convey no emotion but with the archaic smile represented on it’s face the viewer may become confused due to the inconsistent body language. The body looks as if it is very light but still has extremely large muscles that are tensed which also back up the argument that it’s unnatural. The statue should be in motion due to the one leg in front of the other but the statue is portrayed as frozen which makes it extremely mechanical. On the other hand, the Kritios Boy Statue from century 480 B.C. is much more organic with a more fluid body stance. Never before had a sculptor been concerned with depicting how a human being, as opposed to a stone image, actually stands. Real people do not stand in the stiff form of the kouroi and korai. Humans shift their weight and the region of the main body parts around the vertical but flexible axis of the spine. The muscular and skeletal structures are depicted with freely lifelike accuracy, with the rib cage naturally expanded as if in the act of breathing, with a collected and calm demeanor and hips, which are distinctly narrower. The artist of this image was the first to grasp this fact and represent it in statuary. The head also turns slightly to the right and tilts, breaking the unwritten rule of frontality dictating the form of virtually all-earlier statues. As a final forebear of the classical period, the â€Å"smile† of archaic statues has been completely replaced by the accurate delivery of the lips and the formal expression that characterized the transitional austere style. The function of this statue is to recognize accomplishment not from a specific person but represents the ideal type. This statue shows contrapposto with his knee popped and bent showing some type of motion, which is the introduction of weight shift in a statue. Contrapposto separates Classical from Archaic Greek statuary. Kritios Boy’s muscles work interdependently with the axis of his body, he looks as if he is in motion due to the muscles being engaged, as there is a potential of movement. After comparing both artworks in the archaic time period and the classical, most viewers are likely to be able to connect with the classical artwork rather than early time periods’. People today show favoritism to sculptures that resemble the human body and it’s characteristics. Kritios Boy shows more humanistic concepts than the sculpture of Anavysos Kouros. The sculpture’s time period changes the relationship of the sculpture to the viewer. Viewers make emotional connections with statues due to their body language. Kritios Boy has interdependent muscles and is more matter-of-fact. Transformations of a sculpture and time periods have a great deal of impact on the viewer.

Changing Role of Women in Hamlet by Shakespeare

The role of women changed dramatically with time. Women are no longer considered low-income and can always stand in the shadows of men, share light, and stand on their side evenly. It was a tough fight, many people failed the battle, but eventually I found an equal way. In the 16th century, women were mainly used as maids and mothers, but men liked working with men. Ophelia is no exception in William Shakespeare's play Hamlet. In the past, it has played a small role in society. According to social, economic, and political women, Shakespeare's 'Hamlet' play women are not portrayed as important persons. Female characters in drama such as Gertrude, Hamlet's mother, Ophelia Hamlet's lover, etc are all complex and contrary to each other. This is two different roles, but Shakespeare explains that their small role is negative. Acceptance in the world, and their sorrow Caroline Miller Tuck English Lady 124 November 30, 2015 Hamlet playwright, women of the poet William Shakespeare live in tim es when women have no chance. For example, women can not act in dramas, but female roles. This women's perspective was brought to Shakespeare's role in his play. This is the most evident of the tragedy of Danish Prince Hamlet. - It is sustained, reality is an illusion (Albert Einstein). This view of life is surrounded by many literary works. In many cases, the main character must distinguish between reality and fraudulent fantasy. The hero continues to explore resolve to solve the dilemma confronting the enemy. Likewise, the enemy must maintain the illusion of hairspring to manipulate the hero In order to understand the analysis drama of William Shakespeare's Hamlet, first you must understand the basic principle of drama, that is, the main character, confrontation, expo, ascending behavior, crisis, climax, determination. I will study William Shakespeare's Hamlet. This is a good example of this article. It shows a clear and excellent example. The main character, the main figure of th e play. This is his or her story. - Analysis of William Shakespeare 's Hamlet Regardless of past, present and future, the whole world consists of a series of events that inspired ideas from a series of actions.

'The Pleasure of Architecture' Bernard Tschumi Essay

'The Pleasure of Architecture' Bernard Tschumi - Essay Example Predicting Reactions to Architecture There are specific expectations which are associated with architecture and which build an understanding of what will be accepted or rejected. This begins with the ideology of social and cultural acceptance of what is pleasurable and what is rejected within a given society. When looking at Tschumi’s response to architecture, it can be found that he believes there is always an undertone to architecture. In the past, this was based on the concepts of morality and the aesthetics of a design, specific to geometries, use of space and other ideologies of the use of materials for a building (Tschumi, 1977: 214). The same concepts are used for today, specifically with the definition of aesthetic pleasure which is termed by society, culture and the other buildings that have been used within society. Creating a specific atmosphere which is set with the normal ideologies within a society then helps to create a sense of prediction if the architecture is recreated with these elements in mind first (Tschumi, 1977: 214). ... This is placed emotionally and cognitively by an individual and the way in which they feel when surrounded in a specific environment. If one uses the space in a way which is considered as acceptable in society, while triggering beliefs, then it will help with the acceptance of the architecture. For instance, if a space uses greenery, flowers and statues around a building, then it may signify peace and tranquility. This automatically allows the architectural space to become acceptable and to have a positive response from any given culture (Brown, Gifford, 2001: 93). Identifying Pleasure The context which is used in architectural space which is known to create a specific reaction is determined by specific definitions of pleasure. The first of these is with the pleasure of space. When building or landscaping, there is a specific amount of space which can be used in between the main construction. Balancing this automatically creates a specific response, specifically with using the symmet ry in a way which is pleasing to the eye. This is followed by the pleasure of geometry and order. As one categorizes and defines the order of architecture, there is the ability to alter the pleasure of a room because it creates a cognitive and emotional response as a part of the room. The values of this are furthered by creating practical spaces, not only for enjoyment, but also for social acceptance of what a specific space is used for. If one wants acceptance with architecture, then the space has to create a sense of pleasure with these three aspects to build a social and cultural relationship to the building (Tschumi, 1977: 216). The different concepts which relate to architecture

Liquidity Ratios for GM and Ford Essay Example | Topics and Well Written Essays - 1000 words

Liquidity Ratios for GM and Ford - Essay Example From this paper it is clear that  the higher the ratio the better it is for the company in theory but this does not hold truth in the real world situation. Despite the current ratio being used extensively in financial reporting, the ratio can be very misleading. In the real world situation, a high ratio does not necessary imply good liquidity position and a low current ratio does not necessary imply a bad liquidity position. This norm is contrary to the common belief of the current ratio as an adequate indicator of an entity’s liquidity. The ratio conceptualizes liquidation as the ability of a company’s current assets to offset its current liabilities. In the real sense, this does not occur as the investors’ measure a company, s liquidity as the going concern of the entity.  This essay stresses that  the first company has longer accounts receivables days and a low inventory turnover. The second company has a short accounts receivables period and a higher in ventory turnover. The first company has a higher current ratio than the second company does but this does not imply that the company has a better liquidity position. This is because working capital but the cash do not pay the current obligations and since it does not converts its current easily into cash; the company is illiquid. The general concept and basis of the quick ratio is similar to that of the current ratio as it gives the users of the ratio an idia to determine the company's ability to offset its short-term obligations using its short-term assests.  Ã‚  

Mathematics for Economics Assignment Example | Topics and Well Written Essays - 2000 words

Mathematics for Economics - Assignment Example be taken here of the shift in quantity demanded from 50 to 100 would be an increase of 100 percent whilst the reverse would be a decrease of only 50 percent. If we used arc elasticity instead with 75 (average of the two as denominator) the increase would only have been 2/3 (or 50/75) and conversely when we look at the reversal from 100 to 50 again the change of 50 in absolute terms would again have the denominator of 75 thus the decrease too would only be 2/3. This is how arc elasticity offers greater consistency in measurements. 2. National income (Y) is simply the sum of three components: consumption (C), investment (I), and government spending (G). These three are known as producers income. These variables are not nominal but are expressed in real terms. For the second equation, it shows the relationship between consumption and income. That is, consumption is influenced by income. The third equations talks about investment which is a decreasing function of the interest rate. Government spending is assumed to be exogenous. 3. To really understand how the optimal pricing formula comes about we must look at the definition of Marginal cost production in the first place which would be the change in the quotient of total cost being divided by quantity. We know that price elasticity changes at different points along the curve. For students at Hull the price elasticity is different than it would be for business executives and for them this would be the Optimal Price. It would be foolish here to assume that the optimal price would reflect a greater change or when comparing it to the previous optimal price at an increase of 25% travelers with a 10% cut yielding an optimal price of  £233.33 then likewise an increase of 35% might have a higher optimal price. A correlation between the two is only misleading at best. Since Q2 must never be negative then the subsidy for the first scenario must be 0 < s < 6 whereas for the second scenario the subsidy is 0 < s < 4.5. What

English Essay Example | Topics and Well Written Essays - 1250 words - 13

English - Essay Example Furthermore, scientists are of the view that in addition to humans, mammals and birds also dream. It is believed that the "Rapid Eye Movement (REM)" is a stage that occurs when the human brain is at the pinnacle of its activity a state in which the activity resembles of a state when awake. Rapid eye movement sleep takes place due to the movement of eyes continuously while sleeping. However, dreams may occur during other different times and state of sleep, but they are less memorable or vivid. A Dream can be as long as a few seconds to twenty five minutes long. Individuals are more likely to have either a vague or unambiguous recollection of dreams if they are awakened from sleep during the rapid eye movement stage. According to scientists, an average person has two to four dreams per night, and some may even have up to eight occurrences of different dreams in a night. Moreover, some people are able to dream longer as the time during the night advances. About two hours of sleep are spent dreaming in a full eight-hour long sleep. According to modern research, dreams are directly connected to the unconscious mind. They categorize from ordinary and normal to completely unreal and obscure. They are of different natures that fluctuates from magical to sexual, exciting, fear inducing, or adventurous. What a person sees in a dream is out of the control of the dreamer, laying in effect an exception to lucid dreaming, in which the dreamer can exert some degree of control over his dream. Dream interpretations and opinions regarding the nature of dreams have varied and drifted through the continuum of culture and time. Dream interpretations can be traced as far back as 5000-4000BC. Ancient records of dreams have been acquired from Mesopotamia that are as old as 5000BC, where they were inscribed on clay tablets. People in the Roman and Greek empires believed that dreams held a divine meaning portending the occurrence of an auspicious or

Turkey from 1800-1900 Research Paper Example | Topics and Well Written Essays - 750 words

Turkey from 1800-1900 - Research Paper Example In 1800 the Empire had a population of about 20 million. The capital of this empire was the present day capital of Turkey, Istanbul and it was renowned throughout the nineteenth century for its wealth and sophistication, and also for the cosmopolitan mix of different nationalities, cultures and religions that gathered there. The dominant religion was Islam, and this rested on a long tradition of Islamic rulers called Caliphs and Sultans, supported by generally Islamic state laws. There were other religions that flourished in this empire too: â€Å"about three fourths Muslim and the rest divided between Eastern Orthodox, Catholic, Armenian and Coptic Christians as well as a prosperous Jewish community." The nineteenth century was a period of reform and renewal in the Ottoman Empire. Historians have recorded the achievements of a number of Islamic leaders who worked towards the twin goal of modernizing the government and institutions of the Empire and maintaining a moderate Islamic society. The rulers took on a personal responsibility for the welfare of their subjects, in accordance with Islamic tradition and this meant that many benefits such as transport, education, health and all kinds of government services were provided by the ruling Sultans. iii This moral obligation was a very important aspect in Turkey at the time, because without it, the people would have suffered under a despotic rule, with few rights, and at risk of exploitation. Thanks to Islamic values, which stipulate that patriarchs are responsible for others less powerful than themselves, there was a desire to do good works and take care of peoples’ needs. A notable feature of the society in Turkey during the e very early part of the nineteenth century is that the Muslim community had many privileges in comparison with the other religious groups. The political reforms of the nineteenth century, called Tanzimat, aimed to reduce these differences by creating a more neutral legal and social framework, which was applicable to all religions equally. This resulted in a separation between Islam and the state, and it has helped to produce the modern Turkey that we see today – broadly Islamic, but at the same time able to operate on a secular system that is quite close to European norms. It could be said that the late Ottoman Empire period in Turkey was an â€Å"attempt to integrate the Western system with moral content appropriate to the Islamic and Ottoman context.†iv There were a number of rebellions and especially attempts by fundamentalist Muslims to retain a more conservative and religious style of state administration, but these were squashed. Reflection Turkey, and the connect ed countries that formed the Ottoman Empire, is a very interesting region of the world because it sits at the margin between East and West, and at the meeting point between three of the great world religions, Islam, Judaism and Christianity. Given that location, its history is bound to be greatly influenced by religious ideas. In studying this topic I have become aware of the long and glorious history that Islam has had, and the way that people in Turkey tried to construct a broadly Islamic society, but one which tolerated other religions and tried to make space for a neutral state system, rather than an overtly Islamic one. For this reason I think that the moderate form of Islam that became the norm in Turkey was very, very important not only for the way that modern Turkey was created, but also for the whole Eastern European region. When one looks at the harsh regimes that exist in Saudi Arabia, or in an even more extreme form in Afghanistan, for example,

A key historical development such as the development of the tripartite Essay

A key historical development such as the development of the tripartite system or the introduction of comprehensive education - Essay Example The British transition provides an excellent way for the study of the effect of a comprehensive system as compared to selective schooling system on the student's achievement. In the traditional British school system, scholars would attend an academically selective grammar college at age 11, or they would attend a secondary modern school, which used to be academically less hard. The tripartite system had its disadvantages and also its advantages but the criticisms made it necessary to development of comprehensive education, which was friendlier to the students and all the scholars involved. Starting within the Nineteen Fifties, there was once dissatisfaction with choices on the local level, and a few native authorities began to experiment with comprehensive colleges. In 1965, the local authorities requested the Local Education Authorities (LEAs) to make plans to convert to a comprehensive education system. The implementation went on slowly, with sooner growing, more Labour leaning LEA s moving to comprehensive colleges more quickly while Conservative leaning Authorities implemented the amendment extra slowly. Presently there are still few conservatives offering grammar schools as an option INTRODUCTION National school programs range extensively within the quantity of skill tracking of scholars they provide in secondary school. Some education systems are based on comprehensive systems, where students of all abilities go to similar schools, although there is typically some tracking within the schools. Other systems channel students at an early age into different school types based on academic standards (tripartite system). The British idea is appealing since it involved a significant and a well defined change in terms of the ability of secondary school scholars, thus offering a potential way to assess the importance of comprehensive education system on student achievement. Comprehensive education is an education system where selection is not based on academic found ation or competency. A tripartite education system was created by the 1944 Education act and provided the basis of a state funded secondary school sector. The structure was to have three schools, which were grammar school, secondary technical school and secondary modern school (Education Act 1944). In the essay, we are going to discuss why Britain switched to the comprehensive system from tripartite system and the setbacks and advantages of the comprehensive system. We are also going to look at the key areas in the development of the comprehensive education system and the factors which lead to its implementation. Comprehensive education can be looked at as an improvement of the tripartite system, but it also has its own disadvantages. Historical development of Comprehensive Education from the Tripartite System in Britain The 1944 Education Act or the Butler Act brought about the tripartite education system which was found on the belief that at eleven years of age it was possible to measure intelligence of a child, the basis of this is to make a choice on the  activity, or career the child  might be suited to. Children sat the 11+ exam which was made up of English, Math and IQ tests. Those who passed were deemed to be more academic and would then proceed to secondary grammar school while the other would go to lower level grammar school. By the early 1960s, many LEAs were devising and reorganizing plans to end the traditional

My Psychosocial Stage of Development Essay Example for Free

My Psychosocial Stage of Development Essay My Psychosocial Stage of Development S. Pulliam April, 2011 First I would like to define psychosocial development; this is the development of the personality or the acquisition of social attitude and skill from infancy through maturity. Based on the charting from Erickson’s Psychosocial Stages of Development, I fall into two separate categories based on my age. From the beliefs of Erickson, he believed that the achievements and failures of earlier stages influence later stages, whereas later stages modify and transform earlier ones (Erickson, 1980). The first is Young Adulthood and the second is Middle Adulthood. In the two stages from the chart the information is based on (Young adulthood) Intimacy v/s Isolation and the second one (Middle Adulthood) is based on Generativity v/s Stagnation Work and Parenthood Adults. Although there are two separate stages in the psychosocial stages that I fall under, I feel that I am at the midpoint for each and I have decided to consider both aspects in doing my psychosocial stages of development. To explain how the two stages correlate to my life, I decided in the last year to settle down and get married this is based on my young adulthood information from Erickson’s chart. The reason there is a correlation to my life based on Erickson’s chart under middle adulthood id because my life had children prior to the marriage but I am taking a more active role in being involved with activities and school when it comes to my children. In looking at my current psychosocial stage of development influence on my behavior and relationship, I find that I am a calm, and not hard to get along with even under pressure situations that has occurred with us based on my jealous tendencies and insecure ways because of previous relationship and not being with the father of my children. The influence that I see in young adulthood over my relationship is that there is a need for intimacy but not a major desire to have it on a regular basis. The isolation comes from not being so open and friendly to other males in my life or surrounding because of my relationship with my husband. I have male friends that I am social with but I do not allow the intimacy line to be crossed because of my relationship with my husband. The influence that I see in middle adulthood is the need to have a nurturing relationship with my children and creating a positive change to benefit my children lives. In looking at this I made changes in the way I approached my children and how I would not shelter them from the truth when they would ask me questions but give them true answer to their question. As small children I did not feel the need to give much explanation to my children’s questions but now I try to explain everything to them without being untruthful to them or give them false ideas about what is going on around them. To explain the positive and negative outcomes to psychosocial stages of development, I would have to say that there are many positive and negative but the few that stand out to me the most are. First negative outcome, getting over insecurities I had about the intimacy relationship that I chose to take on after breaking off a 10 year relationship with my children’s father. The second negative outcome was getting over the trust issues I had before going into the current marriage that I am in right now. The third negative outcome was getting pass the change of personality and ways I had to endure going into the marriage and getting use to a new personality and making the changes on both parts to make our marriage work to the best of our ability. Based on this information I feel that the positive outcomes to the psychosocial stages of Erickson were in a good way and I can see the difference in my life and marriage. First positive outcome was that I am able to trust again within my relationship with my husband. The second positive outcome was that I made a strong bond with my children and I have not only been a mother to my children but I am the friend that my children confide in when they have feeling they want to express. The third positive outcome I see is that I am calm and stress free with the way I deal with problem within my relationship and I am able to compromise with my spouse when we do not agree on things. In evaluating how other developmental issues have influenced my personality, I would have to say that during my early childhood life I dealt with a few attachment issues with my mother. I feel that during this stage I did not bond with my mother like most children tend to do when the mother is present because she was pre-occupied with her career as a teacher and coaching. So during this age I was in close relationship with my father and I never felt the true connection with myself and my mother like so many girls or women tend to have with a mother. Most of my time I spent with my father and aunts when I was in my early childhood age so I did not really know that much about my mother other than she coached and taught physical education. I admired what she did so I took on the quest of becoming a physical education teacher as well. In School age time I had to bare a lot of pressure in participating in sports and in my school work because the expectation was so high on me to achieve my education and athletic abilities because of what my mother represented in our community. At the same time I was pressured by other students because they felt that the only reason I made the team was because of my mother not because of my own ability. Once I graduated my goals with education were so different. I felt more of the need to help others in crisis situation so I went back to school to get my degree in mental health and social work and that is still my drive today. So from this experience I feel that I have a very strong personality in spite of the way so many tried to bring me down and I am a true fighter for what I believe in deep within my heart. My personality from what I can see is a driving force of who I am and I refuse to be compared to my mother in my quest to achieve greater feats in my life and the way I live my life. It is okay to be compared to her but I know that I could never be my mother or even like her because my drive and ambition is so different from the way she handles things. References http://www. support4change. com/stages/cycles/Erikson. html Erikson E. , 1980. Identity and the Life Cycle. Norton, New York http://currentnursing. com/nursing_theory/theory_of_psychosocial_development. html

The Lung Chronic Disease Bronchopulmonary Dysplasia Nursing Essay

The Lung Chronic Disease Bronchopulmonary Dysplasia Nursing Essay Bronchopulmonary dysplasia or BPD is a form of chronic lung disease that develops in preterm neonates and is treated with oxygen and positive-pressure ventilation (PPV). In this paper I will discuss exactly what bronchopulmonary dysplasia is, its pathophysiology, the etiology, its clinical presentation, and any differential diagnosis of the disease. I will also present in my research the treatment and management for the disease, its prognosis, and the sequelae. Bronchopulmonary dysplasia formerly known as Chronic Lung Disease of Infancy is a chronic lung disorder that is more prevalent in children who were born prematurely with low birthweights, and whose lungs havent had the time to fully develop. White male infants seem to be at a greater risk for development, and genetics may contribute to some of these cases. It is also very common in those who have received prolonged mechanical ventilation to treat respiratory distress syndrome (RDS). It is ironic that the treatment for RDS is considered to be the prime cause of BPD. With the treatment of RDS the patient is treated with high pressures and high FiO2 over a period of time. Its the high pressures of oxygen delivery that can result in necrotizing bronchiolitis and alveolar septal injury; this action further compromises the oxygenation of blood. Bronchopulmonary dysplasia is characterized by inflammation and scarring in the lungs. The signs and symptoms to watch out for are the oxygen deman ds of the infant not decreasing as they should, in some cases even increasing. Fast breathing, a fast heart rate, flared nostrils, retractions, poor weight gain, and coarse crackles may be heard upon auscultation. The pathophysiology of BPD is linked to four factors. These factors are oxygen toxicity, barotrauma, the presence of a PDA (patent ductus arteriosus), and fluid overload. Exposure to high concentrations of oxygen can lead to edema and the thickening of the alveolar membrane. When you have prolonged exposure it causes the alveolar tissues to hemorrhage and become necrotic. As the disease progresses the interstitial spaces will become fibrotic. When the lung tries to heal itself, all of the new cells are damaged by the same factors as before, and it continues in a cycle. All of this can interfere with alveolarization and lead to alveolar simplification with a reduction in the surface area for gas exchange. Any damage to the lung during a critical stage of growth will result in significant pulmonary dysfunction. With patients who have left-to-right shunting through the PDA it is more likely that they develop pulmonary congestion and worsening compliance. With this problem the patient wi ll need higher ventilatory pressures and oxygen percentages to help with ventilation and oxygenation; therefore they have a higher risk of BPD. Bronchopulmonary dysplasia develops as a result of an infants lungs becoming irritated or inflamed. The lungs of premature infants are very fragile and arent fully developed, and therefore they can become easily irritated. Ventilators are used to help with the breathing by using pressure to blow air into the airways and lungs. However it is the pressures used that can irritate and harm a premature infants lungs, so they are used only when absolutely needed. Sometimes oxygen therapy is given to make sure that the infants brains, hearts, livers, and kidneys get enough oxygen to work properly. However in some cases high levels of oxygen can inflame the lining of the lungs and injure the airways, it can also slow lung development. Another cause is infections that can inflame the underdeveloped lungs of premature infants. With this problem it causes narrowing of the airways and makes it harder for infants to breathe. Lung infections can also increase the need for extra oxygen and breathin g support which in turn leads to the ventilation and extra oxygen requirements. There are some studies also show that heredity plays a role in causing BPD. Infants with bronchopulmonary dysplasia will have abnormal findings on physical exams, chestx-rays, pulmonary function testing, and histopathologic examinations. Initial findings observed shortly after birth are consistent with respiratory distress syndrome (RDS). Persistence of these abnormalities can be associated with an increased risk of bronchopulmonary dysplasia. Physical examination may reveal tachypnea, tachycardia, increased work of breathing, including retractions, nasal flaring, and grunting, as well as frequent desaturations and significant weight loss during the first 10 days of life. Infants with severe bronchopulmonary dysplasia are often extremely immature and had a very low birth weight. Their requirements for oxygen and ventilatory support often increase in the first 2 weeks of life. At weeks 2-4, oxygen supplementation, ventilator support, or both are often increased to maintain adequate ventilation and oxygenation. Dif DX Atelectasis refers to collapse of part of the lung. It may include a lung subsegment or the entire lung and is almost always a secondary phenomenon, with no sex or race proclivities; however, it may occur more frequently in younger children than in older children and adolescents. The direct morbidity from atelectasis is transient hypoxemia due to blood flowing through the lung, which does not have normal air flow. The blood does not pick up oxygen from the corresponding alveoli. This shunting results in transient hypoxemia. Hypertension Patent ductus arteriosus (PDA) is one of the more common congenital heart defects. The presentation widely varies. Depending on the size of the patent ductus arteriosus, the gestational age of the neonate, and the pulmonary vascular resistance, a premature neonate may develop life-threatening pulmonary overcirculation in the first few days of life. Conversely, an adult with a small patent ductus arteriosus may present with a newly discovered murmur well after adolescence. During fetal life, the ductus arteriosus is a normal structure that allows most of the blood leaving the right ventricle to bypass the pulmonary circulation and pass into the descending aorta. Typically, only about 10% of the right ventricular output passes through the pulmonary vascular bed. Pneumonia and other lower respiratory tract infections are the leading causes of death worldwide. Because pneumonia is common and is associated with significant morbidity and mortality, properly diagnosing pneumonia, correctly recognizing any complications or underlying conditions, and appropriately treating patients are important. Although in developed countries the diagnosis is usually made on the basis of radiographic findings, the World Health Organization (WHO) has defined pneumonia solely on the basis of clinical findings obtained by visual inspection and on timing of the respiratory rate. (See Clinical Presentation.) Pneumonia may originate in the lung or may be a focal complication of a contiguous or systemic inflammatory process. Abnormalities of airway patency as well as alveolar ventilation and perfusion occur frequently due to various mechanisms. These derangements often significantly alter gas exchange and dependent cellular metabolism in the many tissues and organs that determine survival and contribute to quality of life. Subglottic stenosis (SGS) is a narrowing of the subglottic airway (see image below), which is housed in the cricoid cartilage. The subglottic airway is the narrowest area of the airway because it is a complete, nonexpandable, and nonpliable ring, unlike the trachea, which has a posterior membranous section, and the larynx, which has a posterior muscular section. Tracheomalacia is a structural abnormality of the tracheal cartilage allowing collapse of its walls and airway obstruction. A deficiency and/or malformation of the supporting cartilage exists, with a decrease in the cartilage-to-muscle ratio. Immaturity of the tracheobronchial cartilage is thought to be the cause in type I, whereas degeneration of previously healthy cartilage is thought to produce other types. Inflammatory processes, extrinsic compression from vascular anomalies, or neoplasms may produce degeneration. Diffuse malacia of the airway of the congenital origin improves by age 6-12 months as the structural integrity of the trachea is restored gradually with resolution of the process. Treatment and management Treatment in the NICU is designed to limit stress on infants and meet their basic needs of warmth, nutrition, and protection. Once doctors diagnose BPD, some or all of the treatments used for RDS will continue in the NICU. Such treatment usually includes: Using radiant warmers or incubators to keep infants warm and reduce the chances of infection. Ongoing monitoring of blood pressure, heart rate, breathing, and temperature through sensors taped to the babies bodies. Using sensors on fingers or toes to check the amount of oxygen in the infants blood. Giving fluids and nutrients through needles or tubes inserted into the infants veins. This helps prevent malnutrition and promotes growth. Nutrition is critical to the growth and development of the lungs. Later, babies may be given breast milk or infant formula through feeding tubes that are passed through their noses or mouths and into their throats. Checking fluid intake to make sure that fluid doesnt build up i n the babies lungs. As their condition improves, babies who have BPD are weaned or taken off NCPAP or ventilators slowly, until they can breathe on their own. These infants will likely need to continue getting oxygen therapy for some time. If your infant has moderate to severe BPD, echocardiography may be done every few weeks to months to check his or her pulmonary artery pressure. If your child needs long-term support from a ventilator, he or she will likely have a tracheostomy (TRA-ke-OS-to-me). A tracheostomy is a surgically made hole that goes through the front of the neck and into the trachea (TRA-ke-ah), or windpipe. Your childs doctor will put the breathing tube from the ventilator through the hole. Using a tracheostomy instead of an endotracheal (en-do-TRA-ke-al) tube has several advantages. (An endotracheal tube is a breathing tube inserted through the nose or mouth and into the windpipe.) Long-term use of an endotracheal tube can damage the trachea. This damage may later r equire surgery to correct. A tracheostomy may allow your baby to interact more with you and the NICU staff, start talking, and develop other skills.While your baby is in the NICU, he or she also may need physical therapy. Physical therapy can help strengthen your childs muscles and clear mucus out of his or her lungs.Infants who have BPD can recover, but many spend several weeks or months in the hospital. This allows them to get the care they need. Before your baby goes home, its important for you to learn as much as you can about your childs condition and how its treated. Your baby may continue to have some breathing symptoms after he or she leaves the hospital. Your child will likely continue on all or some of the treatments that were started at the hospital, including:Medicines, such as bronchodilators, steroids, diuretics, and caffeine. Oxygen therapy and/or breathing support from NCPAP or a ventilator. Extra nutrition and calories, which may be given through a feeding tube. Pre ventive treatment with a medicine called palivizumab for severe respiratory syncytial virus (RSV). This common virus leads to mild, cold-like symptoms in adults and older, healthy children. However, in infants-especially those in high-risk groups-RSV can be more serious, leading to severe breathing problems. Your child also should have regular checkups with and timely vaccinations from a pediatrician. This is a doctor who specializes in treating children. If your child needs oxygen therapy or a ventilator at home, a pulmonary specialist may help with long-term medical care and make treatment recommendations. Mechanical ventilation In most cases of bronchopulmonary dysplasia (BPD), respiratory distress syndrome is diagnosed and treated. The mainstay for treating RDS has been surfactant replacement with oxygen supplementation, continuous positive airway pressure (CPAP), and mechanical ventilation. The treatment necessary to recruit alveoli and prevent atelectasis in the immature lung may cause lung injury and activate the inflammatory cascade. Trauma secondary to positive pressure ventilation (PPV) is generally referred to as barotrauma. With the recent focus on a ventilation strategy involving low versus high tidal volume, some investigators have adopted the term volutrauma. Volutrauma suggests the occurrence of lung injury secondary to excessive tidal volume from PPV. The severity of lung immaturity, the fetal milieu, and the effects of surfactant deficiency determine the need for PPV, surfactant supplementation, and resultant barotrauma or volutrauma. With severe lung immaturity, the total number of alveoli is reduced, increasing the positive pressure transmitted to distal terminal bronchioles. In the presence of surfactant deficiency, surface tension forces are increased. Some compliant alveoli may become hyperinflated, whereas other saccules with increased surface tension remain collapsed. With increasing PPV to recruit alveoli and improve gas exchange, the compliant terminal bronchiole and alveolar ducts may rupture, leaking air into the interstitium, with resultant pulmonary interstitial emphysema (PIE). The occurrence of PIE greatly increases the risk of bronchopulmonary dysplasia. Many modes of ventilation and many ventilator strategies have been studied to potentially reduce lung injury, such as synchronized intermittent mechanical ventilation (SIMV), high-frequency jet ventilation (HFJV), and high-frequency oscillatory ventilation (HFOV). Results have been mixed, although some theoretical benefits are associated with these alternative modes of ventilation. Although shorter duration of mechanical ventilation has been demonstrated in some trials of SIMV, most trials have not had a large enough sample size to demonstrate a reduction in bronchopulmonary dysplasia. Systematic reviews suggest that optimal use of conventional ventilation may be as effective as HFOV in improving pulmonary outcomes. Regardless of the high-frequency strategy used, avoidance of hypocarbia and optimization of alveolar recruitment may decrease the risk of bronchopulmonary dysplasia and associated of neurodevelopmental abnormalities. PPV with various forms of nasal CPAP has been reported to decrease injury to the developing lung and may reduce the development of bronchopulmonary dysplasia. In general, centers that use gentler ventilation with more CPAP and less intubation, surfactant, and indomethacin had the lowest rates of bronchopulmonary dysplasia. Oxygen and PPV frequently are life-saving in extremely preterm infants. However, early and aggressive CPAP may eliminate the need for PPV and exogenous surfactant or facilitate weaning from PPV. Some recommend brief periods of intubation primarily for the administration of exogenous surfactant quickly followed by extubation and nasal CPAP to minimize the need for prolonged PPV. This strategy may be most effective in infants without severe RDS, such as many infants with birth weights of 1000-1500 g. In infants who require oxygen and PPV, careful and meticulous treatment can minimize oxygen toxicity and lung injury. Optimal levels include a pH level of 7.2-7.3, a partial pressure of carbon dioxide (pCO2) of 45-55 mm Hg, and a partial pressure of oxygen (pO2) level of 50-70 mm Hg (with oxygen saturation at 87-92%). Assessment of blood gases requires arterial, venous, or capillary blood samples. As a result, indwelling arterial lines are often inserted early in the acute management of RDS. Samples obtained from these lines provide the most accurate information about pulmonary function. Arterial puncture may not provide completely accurate samples because of patient agitation and discomfort. Capillary blood gas results, if samples are properly obtained, may be correlated with arterial values; however, capillary samples may widely vary, and results for carbon dioxide are poorly correlated. Following trends in transcutaneous PO2 andP CO2 may reduce the need for frequent blood gas measurements. Weaning from mechanical ventilation and oxygen is often difficult in infants with moderate-to-severe bronchopulmonary dysplasia, and few criteria are defined to enhance the success of extubation. When tidal volumes are adequate and respiratory rates are low, a trial of extubation and nasal CPAP may be indicated. Atrophy and fatigue of the respiratory muscles may lead to atelectasis and extubation failure. A trial of endotracheal CPAP before extubation is controversial because of the increased work of breathing and airway resistance. Optimization of methylxanthines and diuretics and adequate nutrition may facilitate weaning the infant from mechanical ventilation. Meticulous primary nursing care is essential to ensure airway patency and facilitate extubation. Prolonged and repeated intubations, as well as mechanical ventilation, may be associated with severe upper airway abnormalities, such as vocal cord paralysis, subglottic stenosis, and laryngotracheomalacia. Bronchoscopic evaluation should be considered in infants with bronchopulmonary dysplasia in whom extubation is repeatedly unsuccessful. Surgical interventions (cricoid splitting, tracheostomy) to address severe structural abnormalities are used less frequently today than in the past. Oxygen therapy Oxygen can accept electrons in its outer ring to form free radicals. Oxygen free radicals can cause cell-membrane destruction, protein modification, and DNA abnormalities. Compared with fetuses, neonates live in a relatively oxygen-rich environment. Oxygen is ubiquitous and necessary for extrauterine survival. All mammals have antioxidant defenses to mitigate injury due to oxygen free radicals. However, neonates have a relative deficiency in antioxidant enzymes. The major antioxidant enzymes in humans are superoxide dismutase, glutathione peroxidase, and catalase. Activity of antioxidant enzymes tend to increase during the last trimester of pregnancy, similar to surfactant production, alveolarization, and development of the pulmonary vasculature. Increases in alveolar size and number, surfactant production, and antioxidant enzymes prepare the fetus for transition from a relatively hypoxic intrauterine environment to a relatively hyperoxic extrauterine environment. Preterm birth exposes the neonate to high oxygen concentrations, increasing the risk of injury due to oxygen free radical. Animal and human studies of supplemental superoxide dismutase and catalase supplementation have shown reduced cell damage, increased survival, and possible prevention of lung injury. Evidence of oxidation of lipids and proteins has been found in neonates who develop bronchopulmonary dysplasia. Supplementation with superoxide dismutase in ventilated preterm infants with RDS substantially reduced in readmissions compared with placebo-treated control subjects. Further trials are currently under way to examine the effects of supplementation with superoxide dismutase in preterm infants at high risk for bronchopulmonary dysplasia. Ideal oxygen saturation for term or preterm neonates of various gestational ages has not been definitively determined. In practice, many clinicians have adopted conservative oxygen saturation parameters (ie, 87-92%). A delicate balance to optimally promote neonatal pulmonary (alveolar and vascular) and retinal vascular homeostasis is noted. In the Supplemental Therapeutic Oxygen for Prethreshold Retinopathy of Prematurity (STOP-ROP) trial to reduce severe retinopathy of prematurity (ROP), oxygen saturations of more than 95% minimally affected retinopathy but increased the risk for pneumonia or bronchopulmonary dysplasia. The normal oxygen requirement of a preterm infant is unknown. Pulmonary hypertension and cor pulmonale may result from chronic hypoxia and lead to airway remodeling in infants with severe bronchopulmonary dysplasia. Oxygen is a potent pulmonary vasodilator that stimulates the production of nitric oxide (NO). NO causes smooth muscle cells to relax by activating cyclic guanosine monophosphate. Currently, pulse oximetry is the mainstay of noninvasive monitoring of oxygenation. Repeated episodes of desaturation and hypoxia may occur in infants with bronchopulmonary dysplasia receiving mechanical ventilation as a result of decreased respiratory drive, altered pulmonary mechanics, excessive stimulation, bronchospasm, and forced exhalation efforts. Forced exhalation efforts due to infant agitation may cause atelectasis and recurrent hypoxic episodes. Hyperoxia may overwhelm the neonates relatively deficient antioxidant defenses and worsen bronchopulmonary dysplasia. The patients oxygen requirements are frequently increased during stressful procedures and feedings. Some NICUs have adopted a conservative oxygen saturation policy of maintaining saturations of 88-94%. Caregivers are more likely to follow wide guidelines for ranges of oxygen saturation than narrow ones. Some infants, especially those living at high altitudes, may require oxygen therapy for many months. Transfusion of packed RBCs may increase oxygen-carrying capacity in preterm infants who have anemia (hematocrit The need for multiple transfusions and donor exposures can be minimized by using iron supplementation, a reduction in phlebotomy requirements, and by use of erythropoietin administration. Treatment of inflammation Elevated levels of interleukin-6 and placental growth factor in the umbilical venous blood of preterm neonates are associated with increased incidence of bronchopulmonary dysplasia. This inflammation likely affects alveolarization and vascularization of the pulmonary system of the second-trimester fetus. Fetal sheep exposed to inflammatory mediators or endotoxin develop inflammation and abnormal lung development. Activation of inflammatory mediators has been demonstrated in humans and animal models of acute lung injury. Activation of leukocytes after cell injury caused by oxygen free radicals, barotrauma, infection, and other stimuli may begin the process of destruction and abnormal lung repair that results in acute lung injury then bronchopulmonary dysplasia. Radiolabeled activated leukocytes have been recovered by means of bronchoalveolar lavage (BAL) in preterm neonates receiving oxygen and PPV. These leukocytes, as well as lipid byproducts of cell-membrane destruction, activate the inflammatory cascade and are metabolized to arachidonic acid and lysoplatelet factor. Lipoxygenase catabolizes arachidonic acid, resulting in the production of cytokines and leukotrienes. Cyclooxygenase may also metabolize these byproducts to produce thromboxane, prostaglandin, or prostacyclin. All of these substances have potent vasoactive and inflammatory properties. levels of these substances are elevated in the first days of life, as measured in tracheal aspirates of preterm infants who subsequently develop bronchopulmonary dysplasia. Metabolites of arachidonic acid, lysoplatelet factor, prostaglandin, and prostacyclin may cause vasodilatation, increase capillary permeability with subsequent albumin leakage, and inhibit surfactant function. This effects increase oxygenation and ventilation requirements and potentially increase rates of bronchopulmonary dysplasia Activation of transcription factors such as nuclear factor-kappa B in early postnatal life is associated with death or bronchopulmonary dysplasia. Collagenase and elastase are released from activated neutrophils. These enzymes may directly destroy lung tissue because hydroxyproline and elastin (breakdown products of collagen and elastin) have been recovered in the urine of preterm infants who develop bronchopulmonary dysplasia. Alpha1-proteinase inhibitor mitigates the action of elastases and is activated by oxygen free radicals. Increased activity and decreased function of alpha1-proteinase inhibitor may worsen lung injury in neonates. A decrease in bronchopulmonary dysplasia and in the need for continued ventilator support is found in neonates given supplemental alpha1-proteinase inhibitor. All of these findings suggest the fetal inflammatory response effects pulmonary development and substantially contributes to the development of bronchopulmonary dysplasia. The self-perpetuating cycle of lung injury is accentuated in the extremely preterm neonate with immature lungs. Management of infection Maternal cervical colonization and/or colonization in the neonate with Ureaplasma urealyticum has been implicated in the development of bronchopulmonary dysplasia. Viscardi and colleagues found that persistent lung infection with U urealyticum may contribute to chronic inflammation and early fibrosis in the preterm lung, leading to pathology consistent with clinically significant bronchopulmonary dysplasia.[13] Systematic reviews have concluded that infection with U urealyticum is associated with increased rates of bronchopulmonary dysplasia. Infection-either antenatal chorioamnionitis and funisitis or postnatal infection-may activate the inflammatory cascade and damage the preterm lung, resulting in bronchopulmonary dysplasia. In fact, any clinically significant episode of sepsis in the vulnerable preterm neonate greatly increases his or her risk of bronchopulmonary dysplasia, especially if the infection increases the babys requirement for oxygen and mechanical ventilation. Future management Future management of bronchopulmonary dysplasia will involve strategies that emphasize prevention. Because few accepted therapies currently prevent bronchopulmonary dysplasia, many therapeutic modalities (eg, mechanical ventilation, oxygen therapy, nutritional support, medication) are used to treat bronchopulmonary dysplasia. Practicing neonatologists have observed reduced severities of bronchopulmonary dysplasia in the postsurfactant era. Maintaining PPV and oxygen therapy for longer than 4 months and discharging patients to facilities for prolonged mechanical ventilation is now unusual. Medication Summary Many drug therapies are used to treat infants with severe bronchopulmonary dysplasia (BPD). The efficacy, exact mechanisms of action, and potential adverse effects of these drugs have not been definitively established. A study group from the NICHD and US Food and Drug Administration (FDA) reviewed many of the drugs used to prevent and treat bronchopulmonary dysplasia. Walsh and colleagues concluded that detailed analyses of many of these treatments, as well as long-term follow-up, are needed.[15] Vitamin A supplementation Seven trials of vitamin A supplementation in preterm neonates to prevent bronchopulmonary dysplasia were analyzed for the Cochrane Collaborative Neonatal review. Vitamin A supplementation reduced bronchopulmonary dysplasia and death at 36 weeks postmenstrual age. However, the need for frequent intramuscular injections in extremely premature infants has precluded widespread use of this therapy. Diuretics Furosemide (Lasix) is the treatment of choice for fluid overload in infants with bronchopulmonary dysplasia. It is a loop diuretic that improves clinical pulmonary status and function and decreases pulmonary vascular resistance. Daily or alternate-day furosemide therapy may facilitate weaning from positive pressure ventilation (PPV), oxygenation, or both. Adverse effects of long-term therapy are frequent and include hyponatremia, hypokalemia, contraction alkalosis, hypocalcemia, hypercalciuria, renal stones, nephrocalcinosis, and ototoxicity. Careful parenteral and enteral nutritional supplementation is required to maximize the benefits instead of exacerbating the adverse effects. In patients with mild hyponatremia or hypokalemia, supplementation with potassium chloride is favored over supplementation with sodium chloride. Thiazide diuretics plus aldosterone inhibitors (eg, spironolactone [Aldactone]) have also been used in infants with bronchopulmonary dysplasia. In several trials of infants with bronchopulmonary dysplasia, thiazide diuretics combined with spironolactone increased urine output with or without improvement in pulmonary mechanics. Hoffman et al reported that spironolactone did not reduce the need for supplemental electrolytes in preterm infants with bronchopulmonary dysplasia.[16] To the present authors knowledge, long-term studies to compare the efficacy of furosemide with those of thiazide and spironolactone therapy have not been performed. Bronchodilators Albuterol is a specific beta2-agonist used to treat bronchospasm in infants with bronchopulmonary dysplasia. Albuterol may improve lung compliance by decreasing airway resistance by relaxing smooth muscle cell. Changes in pulmonary mechanics may last as long as 4-6 hours. Adverse effects include increased blood pressure (BP) and heart rate. Ipratropium bromide is a muscarinic antagonist that is related to atropine; however, it may have bronchodilator effects more potent than those of albuterol. Improvements in pulmonary mechanics were demonstrated in patients with bronchopulmonary dysplasia after they received ipratropium bromide by inhalation. Combined therapy with albuterol and ipratropium bromide may be more effective than either agent alone. Few adverse effects are noted. Methylxanthines are used to increase respiratory drive, decrease apnea, and improve diaphragmatic contractility. These substances may also decrease pulmonary vascular resistance and increase lung compliance in infants with bronchopulmonary dysplasia, probably by directly causing smooth muscle to relax. Methylxanthines also have diuretic effects. All of these effects may increase success in weaning patients from mechanical ventilation. Synergy between theophylline and diuretics has been demonstrated. Theophylline has a half-life of 30-40 hours. It is metabolized primarily to caffeine in the liver and may result in adverse effects such as increase in heart rate, gastroesophageal reflux, agitation, and seizures. The half-life of caffeine is approximately 90-100 hours, and caffeine is excreted unchanged in the urine. Both agents are available in intravenous and enteral formulations. Caffeine has fewer adverse effects than theophylline. Schmidt and colleagues reported that the early use of caffeine to treat apnea of prematurity appeared to reduce ventilatory requirements and that it may decrease the incidence of bronchopulmonary dysplasia.[17] Corticosteroids Systemic and inhaled corticosteroids have been studied extensively in preterm infants to prevent and treat bronchopulmonary dysplasia. Dexamethasone is the primary systemic synthetic corticosteroid studied in preterm neonates. Dexamethasone has many pharmacologic benefits but clinically significant adverse effects. This drug stabilizes cell and lysosomal membranes, increases surfactant synthesis, increases serum vitamin A concentration, inhibits prostaglandin and leukotriene, decreases pulmonary edema (PE), breaks down granulocyte aggregates, and improves pulmonary microcirculation. Its adverse effects are hyperglycemia, hypertension, weight loss, GI bleeding or perforation, cerebral palsy, adrenal suppression, and death. Many researchers have evaluated the effects of early administration of dexamethasone to prevent bronchopulmonary dyspl

Zora Neale Hurston and Their Eyes Were Watching God :: Their Eyes Were Watching God Essays

Zora Neale Hurston and Their Eyes Were Watching God   Ã‚  Ã‚   Zora Neale Hurston an early twentieth century Afro-American feminist author, was raised in a predominately black community which gave her an unique perspective on race relations, evident in her novel, Their Eyes Were Watching God.   Hurston drew on her on experiences as a feminist Afro-American female to create a story about the magical transformation of Janie, from a young unconfident girl to a thriving woman.   Janie experiences many things that make her a compelling character who takes readers along as her companion, on her voyage to discover the mysteries and rewards life has to offer.     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Zora Neale Hurston was, the daughter of a Baptist minister and an educated scholar who still believed in the genius contained within the common southern black vernacular(Hook http://splavc.spjc.cc.fl.us/hooks/Zora.html).   She was a woman who found her place, though unstable, in a typical male profession. Hurston was born on January 7, 1891  Ã‚   in Eatonville, Florida,   the first all-incorporated black town in America.   She found a special thing in this town, where she said, "... [I] grew like a like a gourd and yelled bass like a gator," (Gale, 1).   When Hurston was thirteen she was removed from school and sent to care for her brother's children.   She became a member of a traveling theater at the age of sixteen, and then found herself working as a maid for a white woman. This woman saw a spark that was waiting for fuel, so she arranged for Hurston to attend high school in Baltimore. She also attended Morgan Academy, now c alled Morgan State University, from which she graduated in June of 1918.   She then enrolled in the Howard Prep School followed by later enrollment in Howard University.   In 1928 Hurston attended Barnard College where she studied anthropology under Franz Boas. After she graduated, Zora returned to Eatonville to begin work on anthropology.   Four years after Hurston received her B.A. from Barnard she enrolled in Columbia University   to begin graduate work (Discovering Authors, 2-4).   Hurston's life seemed to be going well but she was soon to see the other side of reality.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Hurston never stayed at a job for too long,   constantly refusing the advances of male employers, which showed part of her strong feminist disposition.   But Hurston was still seeking true love throughout her travels and education.   At Howard University, Hurston met Herburt Sheen whom she married on May 19, 1927 in St. Zora Neale Hurston and Their Eyes Were Watching God :: Their Eyes Were Watching God Essays Zora Neale Hurston and Their Eyes Were Watching God   Ã‚  Ã‚   Zora Neale Hurston an early twentieth century Afro-American feminist author, was raised in a predominately black community which gave her an unique perspective on race relations, evident in her novel, Their Eyes Were Watching God.   Hurston drew on her on experiences as a feminist Afro-American female to create a story about the magical transformation of Janie, from a young unconfident girl to a thriving woman.   Janie experiences many things that make her a compelling character who takes readers along as her companion, on her voyage to discover the mysteries and rewards life has to offer.     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Zora Neale Hurston was, the daughter of a Baptist minister and an educated scholar who still believed in the genius contained within the common southern black vernacular(Hook http://splavc.spjc.cc.fl.us/hooks/Zora.html).   She was a woman who found her place, though unstable, in a typical male profession. Hurston was born on January 7, 1891  Ã‚   in Eatonville, Florida,   the first all-incorporated black town in America.   She found a special thing in this town, where she said, "... [I] grew like a like a gourd and yelled bass like a gator," (Gale, 1).   When Hurston was thirteen she was removed from school and sent to care for her brother's children.   She became a member of a traveling theater at the age of sixteen, and then found herself working as a maid for a white woman. This woman saw a spark that was waiting for fuel, so she arranged for Hurston to attend high school in Baltimore. She also attended Morgan Academy, now c alled Morgan State University, from which she graduated in June of 1918.   She then enrolled in the Howard Prep School followed by later enrollment in Howard University.   In 1928 Hurston attended Barnard College where she studied anthropology under Franz Boas. After she graduated, Zora returned to Eatonville to begin work on anthropology.   Four years after Hurston received her B.A. from Barnard she enrolled in Columbia University   to begin graduate work (Discovering Authors, 2-4).   Hurston's life seemed to be going well but she was soon to see the other side of reality.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Hurston never stayed at a job for too long,   constantly refusing the advances of male employers, which showed part of her strong feminist disposition.   But Hurston was still seeking true love throughout her travels and education.   At Howard University, Hurston met Herburt Sheen whom she married on May 19, 1927 in St.

Current Research Investigations of Corollary Discharge :: Biology Medicine Research Papers

Current Research Investigations of Corollary Discharge Corollary discharge assists both human and non-human animals distinguish between self-generated (internal) and external motor responses. By sending signals which report important information about movement commands and intension animals are able to accurately produce motor sequences with ease and coordination. When a motor command initiates an electric organ discharge, the signal transmits important information to the brain which serves as a feed-back mechanisms which assist with self-monitoring; this is formally defined as corollary discharge(6). Although the corollary discharge system is one of the most important systems which animals possess for the control and detection of motor movements, its specific neurological mapping is largely unknown. Many studies which investigate the specific nature of corollary discharge focus on either auditory or visual sensory perception. Current investigations of corollary discharge are commonly associated with the use non-human primates and humans who suffer from Schizophrenia. By using non-human primates for the investigation of the neuronal network of the corollary discharge system both invasive and non-invasive investigation may be explored. In addition, investigating Schizophrenics who suffer from auditory hallucinations, the inability to differentiate between spoken and thought speech (1), may also significantly contribute to the advancement and increased understandings of the corollary discharge systems. Sommer et. al., proposed a neuronal pathway for corollary discharge in non-human primates. He suggested that this pathway extends from the brainstem to the frontal cortex. Within the pathway the brain was to initiate movement as well as supply internal information which was then used by sensory systems to adjust for resultant changes(5). These adjustments were said to occur within the peripheral receptors and motor planning systems which would then prepare the body for future movements(5). Corollary discharge signals in Sommer's study were identified as movement related activity which projected upstream (up the spinal cord) away from motor neurons, transmitting information but not causing any actual movement (4). By measuring the neuronal firing of the superior colliculus in the frontal cortex during normal and stimulated saccade movements of the eye, Sommer measured the corollary discharge signals in monkeys. The results of Sommer's study suggested that non-human primates did i n fact transmit corollary discharge signals during eye saccades which was suggestive of a brainstem to frontal cortex pathway for transmission. While Sommer's study provided novel and interesting ideas in regard to the specific pathway of corollary discharge, it focused largely of saccadic eye movements in non-human primates.

Erich Fromms Disobedience as a Psychological and Moral Problem Essay e

Erich Fromm's Disobedience as a Psychological and Moral Problem In "Disobedience as a Psychological and Moral Problem," Erich Fromm (1963) argues that society will self-destruct without achieving freedom through disobedience. Fromm begins with analogies of Hebrew and Greek mythology showing how disobedience to a god freed humans. Using this correlation, Fromm shows freedom as a condition for disobedience, and vice- versa. Therefore, Fromm proclaims that without disobedience the human race could destroy itself within a generation. Fromm’s article, first published in 1963, stems from fear of a third world war. Despite the â€Å"outdated† comment by Behrens and Rosen in the introduction, the article still applies to suggestion human nature during the War on Terrorism. Fromm (1963) Fromm predominately uses logos, with underlying pathos (appeals to emotions) when discussing religion. Fromm adds a section near the end about Hitler’s right hand man, Adolf Eichmann, which seems out of place. However, in 1963 the reference to individual players of the Holocaust such as Eichmann probably equates to the 21st century usage of Cindy Sheehan. The flow of Fromm’s article lacks logical arguments while ignoring religious values of his biblical examples, especially Adam and Even. Believers of both Judaism and Christianity believe God created everything including man and woman. First, God created man (Adam) to live in the Garden of Eden, and then woman (Eve) from Adam's rib for companionship. God gave all of his glorious creations to them provided fruit from The Tree of Knowledge stayed uneaten. As the myth goes, Eve ate the fruit from the tree resulting in banishment for both. Fromm (1963) claims this act resulted in Adam and Eve’s freedom... ...l itself off until the majority becomes authority. Fromm (1963) believes the need for disobedience grows as this authority increases. However, he neglects to suggest when disobedience should stop. When the majority continually stops any outbreak of disobedience, I believe over time we will accept the initial concept they wanted to fight. When we win the War on Terrorism, the people of Iraq will be free with their own constitution and government. At that time, any attempt to disobey the government might shake their foundation, but it will not â€Å"free† the insurgency as Fromm suggests. Sources Cited Childbirth.org. (2001). Pregnancy & Childbirth Information. Retried October 10, 2005, from http://childbirth.org/ Fromm, E. (1963). Disobedience as a Psychological and Moral Problem (Ed.), Writing and Reading Across the Curriculum (pp. 357-361). New York: Pearson.

Effect of Titles and Subtitles of HIPAA on the IT Organization Essay

Effect of Titles and Subtitles of HIPAA on the IT Organization For my second internship meeting the CEO needs help with briefing the chief marketing officer on the effects that (HIPPA) have on the IT field involving health care. The chief marketing officer is coming from the retail industry so I will need to explain to him the important parts of the IT department that involves the health care industry. â€Å"The Health Insurance Portability and Accountability Act â€Å"(health.state.tn.us/hipaa/ )is â€Å"HIPAA is the federal Health Insurance Portability and Accountability Act of 1996. The primary goal of the law is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information ad help the healthcare industry control administrative costs.†( health.state.tn.us/hipaa/) HIPPA is used in all medical facilities to protect patients’ rights, it is extremely important that the medical facility follows the rules that HIPPA has put in place. HIPPA is used for patients’ rights and safety concerning their medical and personal information. A medical facility must follow the rules and guidelines that HIPPA has put in place to do just this for their patients. HIPPA is a strong privacy protections that is critical in maintaining individuals’ trust in their health care providers and to obtain needed health care services, and these protections are especially important where very sensitive information is concerned. HIPPA is very important in the IT part of health care industry, there are several entitles involved in IT and HIPPA. HIPPA Title 11 Subtitle F consists of Administrative Simplification Administration simplification purpose is the† purpose of this subtitle to  improve the Medicare program under title XVIII of the Social Security Act, the Medicaid program under title XIX of such Act, and the efficiency and effectiveness of the health care system, by encouraging the development of a health information system through the establishment of standards and requirements for the electronic transmission of certain health information.†(http://aspe.hhs.gov/admnsimp/pl104191.htm) The requirements for the HIPPA administration simplification consist of â€Å"†SEC. 1175. (a) CONDUCT OF TRANSACTIONS BY PLANS.– â€Å"(1) IN GENERAL.–If a person desires to conduct a transaction referred to in section 1173(a)(1) with a health plan as a standard transaction– â€Å"(A) the health plan may not refuse to conduct such transaction as a standard transaction; â€Å"(B) the insurance plan may not delay such transaction, or otherwise adversely affect, or attempt to adversely affect, the person or the transaction on the ground that the transaction is a standard transaction; and â€Å"(C) The information transmitted and received in connection with the transaction shall be in the form of standard data elements of health information. â€Å"(2) SATISFACTION OF REQUIREMENTS.–A health plan may satisfy the requirements under paragraph (1) by– â€Å"(A) directly transmitting and receiving standard data elements of health information; or â€Å"(B) Submitting nonstandard data elements to a health care clearinghouse for processing into standard data elements and transmission by the health care clearinghouse, and receiving standard data elements through the health care clearinghouse. â€Å"(3) TIMETABLE FOR COMPLIANCE.–Paragraph (1) shall not be construed to  require a health plan to comply with any standard, implementation specification, or modification to a standard or specification adopted or established by the Secretary under sections 1172 through 1174 at any time prior to the date on which the plan is required to comply with the standard or specification under subsection (b). â€Å"(b) COMPLIANCE WITH STANDARDS.– â€Å"(1) INITIAL COMPLIANCE.– â€Å"(A) IN GENERAL.–Not later than 24 months after the date on which an initial standard or implementation specification is adopted or established under sections 1172 and 1173, each person to whom the standard or implementation specification applies shall comply with the standard or specification. â€Å"(B) SPECIAL RULE FOR SMALL HEALTH PLANS.–In the case of a small health plan, paragraph (1) shall be applied by substituting ’36 months’ for ’24 months’. For purposes of this subsection, the Secretary shall determine the plans that qualify as small health plans. â€Å"(2) COMPLIANCE WITH MODIFIED STANDARDS.–If the Secretary adopts a modification to a standard or implementation specification under this part, each person to whom the standard or implementation specification applies shall comply with the modified standard or implementation specification at such time as the Secretary determines appropriate, taking into account the time needed to comply due to the nature and extent of the modification. The time determined appropriate under the preceding sentence may not be earlier than the last day of the 180-day period beginning on the date such modification is adopted. The Secretary may extend the time for compliance for small health plans, if the Secretary determines that such extension is appropriate. â€Å"(3) CONSTRUCTION.–Nothing in this subsection shall be construed to prohibit any person from complying with a standard or specification by– â€Å"(A) submitting nonstandard data elements to a health care clearinghouse for processing into standard data elements and transmission by the health care clearinghouse; or â€Å"(B) Receiving standard data elements through a health care clearinghouse.†(http://aspe.hhs.gov/admnsimp/pl104191.htm) This is very imprtonat with following the HIPPA rules and regulations â€Å"PROCESSING PAYMENT TRANSACTIONS BY FINANCIAL INSTITUTIONS â€Å"SEC. 1179. To the extent that an entity is engaged in activities of a financial institution (as defined in section 1101 of the Right to Financial Privacy Act of 1978), or is engaged in authorizing, processing, clearing, settling, billing, Transferring, reconciling, or collecting payments, for a financial institution, this part, and any standard adopted under this part, shall not apply to the entity with respect to such activities, including the following: â€Å"(1) The use or disclosure of information by the entity for authorizing, processing, clearing, settling, billing, transferring, reconciling or collecting, a payment for, or related to, health plan premiums or health care, where such payment is made by any means, including a credit, debit, or other payment card, an account, check, or electronic funds transfer. â€Å"(2) the request for, or the use or disclosure of, information by the entity with respect to a payment described in paragraph (1)– â€Å"(A) for transferring receivables; â€Å"(B) For auditing; â€Å"(C) In connection with– â€Å"(i) a customer dispute; or â€Å"(ii) An inquiry from, or to, a customer; â€Å"(D) In a communication to a customer of the entity regarding the customer’s transactions, payment card, account, checks, or electronic funds transfer; â€Å"(E) For reporting to consumer reporting agencies; or â€Å"(F) For complying with– â€Å"(i) a civil or criminal subpoena; or â€Å"(ii) A Federal or State law regulating the entity.† (b) CONFORMING AMENDMENTS.– (1) REQUIREMENT FOR MEDICARE PROVIDERS.–Section 1866(a) (1) (42 U.S.C. 1395cc (a) (1)) is amended– (A) by striking â€Å"and† at the end of subparagraph (P); (B) By striking the period at the end of subparagraph (Q) and inserting â€Å"; and†; and (C) By inserting immediately after subparagraph (Q) the following new subparagraph: â€Å"(R) to contract only with a health care clearinghouse (as defined in section 1171) that meets each standard and implementation specification adopted or established under part C of title XI on or after the date on which the health care clearinghouse is required to comply with the standard or specification.†. (2) TITLE HEADING.–Title XI (42 U.S.C. 1301 et seq.) is amended by striking the title heading and inserting the following 🙠 http://aspe.hhs.gov/admnsimp/pl104191.htm) â€Å"EFFECT ON STATE LAW â€Å"SEC. 1178. (a) GENERAL EFFECT.– â€Å"(1) GENERAL RULE.–Except as provided in paragraph (2), a provision or requirement under this part, or a standard or implementation specification adopted or established under sections 1172 through 1174, shall supersede any contrary provision of State law, including a provision of State law that requires medical or health plan records (including billing information) to be maintained or transmitted in written rather than electronic form. â€Å"(2) EXCEPTIONS.–A provision or requirement under this part, or a standard or implementation specification adopted or established under sections 1172 through 1174, shall not supersede a contrary provision of State law, if the provision of State law– â€Å"(A) is a provision the Secretary determines– â€Å"(I) is necessary– â€Å"(I) to prevent fraud and abuse; â€Å"(II) To ensure appropriate State regulation of insurance and health plans; â€Å"(III) For State reporting on health care delivery or costs; or â€Å"(IV) For other purposes; or â€Å"(ii) Addresses controlled substances; or â€Å"(B) Subject to section 264(c) (2) of the Health Insurance Portability and Accountability Act of 1996, relates to the privacy of individually identifiable health information. â€Å"(b) PUBLIC HEALTH.–Nothing in this part shall be construed to invalidate or limit the authority, power, or procedures established under any law providing for the reporting of disease or injury, child abuse, birth, or death, public health surveillance, or public health investigation or intervention. â€Å"(c) STATE REGULATORY REPORTING.–Nothing in this part shall limit the ability of a State to require a health plan to report, or to provide access to, information for management audits, financial audits, program monitoring and evaluation, facility licensure or certification, or individual licensure or certification. (http://aspe.hhs.gov/admnsimp/pl104191.htm) The HIPPA Title 11 subtitle F consist of six parts, I have mentioned three of these parts that I think that are the most important parts that pertain to HIPPA and the IT part of HIPPA. References http://search.proquest.com.ezproxy.apollolibrary.com/docview/214069689/fulltextPDF?accountid=458 http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/nist80066.pdf http://aspe.hhs.gov/admnsimp/pl104191.htm

Art Deco Reproductions, Inc.: Financial Analysis

The first proposal is issuing the new shares to publics at $38, but right now the commission fee is $3, and the market price is $39, but the investment banker believe that the price will drop to $38 and the commission fee is $2 per share subscribed. To capitalize exact millions dollar, Art Deco reproductions need to issue 556,000 new shares in total. And the stock price will drop slightly. And the company need to pay the investment banker $1 , 112,000 for the commission fees. There are some advantages selling shares to public. The stock price will not drop so much, compare with others proposal.The less new shares issued, the less share dilution, and one member of the Board of Directors think this proposal will allow for greater distribution of the stock throughout the market. This proposal also has some disadvantages. The commission fees are the highest, compare with other proposal in the circumstances of all shares are subscribed. Issuing new shares to public will dilute the proport ional ownership of the company. It also will dilute the voting right of the current shareholders. It also will give much more voting right to the outsiders. Issuing shares to public might also hurt the current shareholders' loyalty.There also some potential risk the company need to face in this proposal. The first one is the fluctuations of the market price, if the market price goes down under $38, the new issue shares cannot sold and it had to decrease to the market price, and the commission fees is $2 per share, which meaner the company cannot capitalized enough money and need to issue more shares and pay more commission fees to get the millions capitalize target. The proposal 2 is the company offer rights to current shareholders and gives them at $36 per share, this price is lower than the current arrest price $39 per shares, but the commission fee will be $1. 5 per share for every share subscribed, and any remain shares will purchased by Hugh ; Company, which will charge inscrib ed share $3 per share. In this proposal, assuming all the shares subscribed. The company need to issue minimum 576,000 shares to meet the $million capitalized goal. And the company will pay $720,000 as the commission fee. And each rights worth $0. 48, when the rights was generated from the old shares, over 60% of the stock holders will be expected to sell their rights to outsiders anyways. The advantage of proposal 2 is very obviously.The high subscription price can lead to less amount of dilution of earning per shares and still give loyal stockholders a chance to keep their equity positions at a discount. It also will not harm the shareholder's interest so much, and will not dilute too much voting power to outsiders. And it will not hurt the ownership of the current stock holder and protect their rights The disadvantage of proposal 2 is very clear, the high commission fee is still the problem, and in this high offering price, the current stockholder might not have enough cash to re invest the company. There are some potential risks in this reports as well.The high risk of unfavorable market price fluctuations, and if the stock price drops to $36, the cost of flotation will go up dramatically. And it also has a risk of dilute the current shareholder's ownerships' proportion. The cheap right but high stock price might not attractive enough to the outsiders who want to invest in this company. The proposal 3 offers a right at $32 per share and the underwriting cost is 0. 25 per share, and $3 per share taken by the investment banker. In this proposal, if all the shares are subscribed, company need to issue 640,000 shares and says total $480,000 commission fees.In this proposal each right worth $1. 23 In this proposal, the advantages are lower commission fee compare with the proposal 1 and 2, and it will increase the current stockholders' loyalty if they are in the management team. And it also will protect the current stockholder's right, because they are offered be fore outsiders and don't need to pay the price of the rights to buy the shares. And it also provides an adequate margin of safety against downward market price fluctuations, protects the stockholders from the excessive equity dilution entailed in rapports 4 and 5, and give an appealing purchase discount.The disadvantage in proposal 3 is much more likely as the proposal 2, the proposal g's offer price still too high to afford, because only a small percentage of stockholders might have immediate funds available for reinvestment, and leave the large percentage of stockholders no choice but to sell their rights. The more shares issue the more earnings will be diluted. The risk is about the flotation cost will highly increase because most of investors' choice to sell their rights and it probably dilute the hardcover's ownership proportion.The proposal 4 is company offer a right to stock holder at $20 per share and the underwriting cost will be 0. Pepper share and it the cost of $3 per ea ch share if the investment banker take the remain shares. Assuming all the shares are subscribed, the company will issue 1 to meet million goal, and it needs to pay $253,250 as the commissions fees. In this proposal each right worth $4. 80. In this proposal 4, the advantage is very low offer price, compare with the proposal 1 to 3, and the low commission fees, and the low offer price will eve wide range of shareholder to reinvest it, and it keep the shareholder's loyalty.And it will attract more outside investor to buy the rights and invest the company. It will not harm the company hard-earned reputation of the company's stock price. And the proposal 4 put the stock in a popular trading range, a low enough subscribed price, a low flotation cost, and a reasonable ex-rights stock price , which will attract a wide range of investor But the disadvantage of proposal 4 also very seriously, one is it will diluted the earnings per share greatly from $2. 58 to $1. 93. T is very seriously pro blem to the big stock holder, and the market price will also goes down, which will harm the stock holder's worth if they don't exercise their rights. The risk still exists in this proposal, such as the ownership proportion dilute, voting right diluted. Proposal 5 gives shareholders rights to buy shares at $5 per shares, and there is no commission fee and all the shares will be taken. In this proposal, the company need to issue millions new shares and the value of the rights worth $19. 43. In this proposal, the advantage is very huge.Because of low share price, all the shares will e taken by the share holders. Second, there is no flotation cost, so it will save lot of money. But the advantage is very big as well. Because the lower price, the company will issue millions new shares, and we know the old outstanding shares only have millions right now, the equity, earnings per shares will be diluted greatly. The market price will be greatly drop downs as well. And the high value of right s will also challenge the stockholder's loyalty, the shareholder might sell the rights to outsiders and get this huge amount of money to invest other valuable company.